Abstract. Non-alcoholic fatty liver disease (NAFLD) is the result of the accumulation of adipose tissue deposits in the liver and it is associated with type 2 diabetes. Crocus sativus (saffron) is known for its antioxidant and its potential hypoglycemic effects. We investigated the role of saffron on NAFLD in diabetic rats. Thirty adult male rats were allocated into three groups; control (n=10), which received normal diet; streptozotocin (STZ) group (n=10), which received normal chow diet, 10% fructose in their drinking water and STZ (40 mg/kg body weight; STZ-saffron group (n=10), which followed the same dietary and pharmacological pattern as STZ group and were additionally supplemented with saffron (100 mg/kg/day). Metabolic profile was measured and histopathological examination of the liver was evaluated. STZ group exhibited the highest glucose levels at the end of the experiment (P<0.05), while there was no difference between control and STZ-saffron group (584 vs. 213 mg/dl vs. 209 mg/dl, respectively). STZ group revealed higher percentage of steatosis (5-33%) when compared to the other two groups (P<0.005). Saffron exhibits both hypoglycemic and hepatoprotective actions. Yet, further studies enlightening the exact mechanisms of saffron's mode of actions are required.
IntroductionDiabetes mellitus, especially type 2 (T2D) worldwide affects approximately 2.8% of the population, a percentage that is estimated to reach 4.4% by 2030 (1). T2D is a multi-dimensional disease, accompanied with a variety of co-morbidities (2). Although, different drugs are successfully used for controlling blood glucose levels, they are ineffective in reversing or even withholding the progression of certain complications (3). A disease associated with the increased prevalence of T2D for which awareness has been raised over the last decade is non-alcoholic fatty liver disease (NAFLD) (4,5). In patients with T2D, concurrent NAFLD might increase the risk of chronic kidney failure and the overall mortality rate (6). Nonetheless, control of the impaired glucose homeostasis and lipid concentrations inhibits micro-vascular complications and fat deposits accumulation in the liver tissue (7,8). Therefore, the main objective of medical treatment as well as prophylaxis in patients with T2D and NAFLD is metabolic control.Saffron, the dry stigmas of the plant Crocus Sativus has been used in folklore medicine as a potent drug for asthma, liver disease, pain and dysregulation of the estrus cycle since ancient times (9). Recently, assembling evidence has suggested the use of saffron as an anti-diabetic drug (10,11). The hypoglycemic and hypolipidemic effects of total saffron and its extracts were reported in several animal studies involving experimental diabetes and its complications such as diabetic nephropathy and encephalopathy (12,13).Aim of our study was to evaluate the potential effect of total saffron on glycemic and lipid control in an experimental model of T2D and to investigate its protective effect in NAFLD, as a complication of diabetes....